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Keloids & Scars

When a wound heals, your body produces a layer of collagen to cover the open area. Then the skin surrounding the wound grows over the collagen until the edges meet in the center. This produces the scar.

New scars go through a period of maturation that lasts 12-18 months. During this time, the scar’s color typically fades and the tissues strengthen.

Scars may cause symptoms like itching and pain. Several types of scars, including keloid and contracture scars, can limit your movement.

What are the different types of scars?
There are a variety of scar types, including:

Hypertrophic scars
This is a raised scar created by excess collagen. The raised area stays within the boundaries of the initial injury. Hypertrophic scars may diminish as the scar matures.

Keloid scars
Keloid scars are a type of hypertrophic scar, but these raised scars grow larger than your original injury. Some keloids form quickly, while others do not appear for months after your injury.

Once a keloid scar appears, it can continue to enlarge for months or years. Their appearance does not improve without treatment.

Atrophic scars
Atrophic scars are depressed instead of raised. Acne is the most common cause of an atrophic scar.

Contracture scars
These scars develop when you suffer damage to an extensive area of skin, such as a burn. Contracture scars tighten as they mature, limiting your ability to move.

Before deciding on an appropriate treatment, Associated Dermatologists evaluates your scar to determine which type it is, how long you have had it, and to make sure there are no signs of problems like skin cancer.

How are scars treated?
Chemical peels and microneedling are two treatment options for minor scars caused by acne, surgery, or an injury.

The team at Associated Dermatologists may use the Eclipse MicroPen® or perform radiofrequency microneedling using the advanced Morpheus8 device. Both techniques break down scar tissue while stimulating the production of new, healthy tissues.

The following treatments can prevent or reduce the size of scars and keloids, and help relieve symptoms such as pain, itching, swelling, and limited mobility:

Corticosteroid injections
Pressure therapy
Laser treatment
Silicone ointment
Cryotherapy
Surgical scar revision
Surgery effectively eliminates scars and keloids, but it must be combined with another treatment. For example, using radiation therapy, cryotherapy, silicone gel, or corticosteroid injections after your surgery helps prevent scars (especially keloids) from reappearing.

If you’re ready to diminish the appearance of scars, call Associated Dermatologists or schedule an appointment online today.